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General NPI Number Information
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NPI Number | 1437526357
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Entity Type | Organization
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Legal Business Name | HI DENTAL CARE LLC
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 598 W MAIN ST UNIT 3
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City | NORWICH
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State | CT
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Zip | 06360-5342
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Country | US
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Telephone | 917-334-3544
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Fax |
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Provider Business Mailing Address
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Address Line | 32 UPPER PATTAGANSETT RD UNIT 30
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City | EAST LYME
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State | CT
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Zip | 06333-1147
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Country | US
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Telephone | 917-334-3544
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOUNGCHUL KIM
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Credential |
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Telephone | 917-334-3544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 010809
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License Number State | CT
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